ABSTRACT
Objetivou avaliar o efeito antes e depois de uma sessaÌo de auriculoterapia nos niÌveis de ansiedade, depressaÌo e estresse nos profissionais de enfermagem escalados para atuar na assisteÌncia durante a pandemia do coronaviÌrus. Estudo de caso, com casos muÌltiplos e uma unidade de anaÌlise. Estabeleceu-se uma amostra por convenieÌncia de 41 profissionais. Aplicou-se o instrumento de caracterizaçaÌo sociodemograÌfica e a escala de Depression, Anxiety, and Stress Scale, antes e apoÌs uma sessaÌo de auriculoterapia com protocolo de 10 acupontos. Teste de Wilcoxon e T emparelhado foram empregados para anaÌlise. NiÌveis de ansiedade, depressaÌo e estresse apresentaram resultados significativos, cujas medianas reduziram de seis para quatro (p<0,001), nas variaÌveis depressaÌo e ansiedade, e a meÌdia de estresse reduziu de 19,37 para 11,95 (p<0,001). A auriculoterapia foi efetiva na reduçaÌo de distuÌrbios emocionais nos profissionais de enfermagem.
This study aimed to evaluate the levels of anxiety, depression and stress before and after an auriculotherapy session, in nursing professionals working during the coronavirus pandemic. Case study, with multiple cases and one unit of analysis. A convenience sample of 41 professionals was established. The sociodemographic characterization instrument and the Depression, Anxiety, and Stress Scale were applied before and after an auriculotherapy session with a 10-acupoint protocol. The Wilcoxon and t tests were paired for analysis. Anxiety, depression and stress levels showed significant results, the medians decreased from six to four (p<0.001), in the variables depression and anxiety, and the average stress decreased from 19.37 to 11.95 (p<0.001). Auriculotherapy was effective in reducing emotional disorders in nursing professionals.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety/therapy , Stress, Psychological/therapy , Acupuncture, Ear/psychology , Depression/therapy , Nurse Practitioners/psychology , Socioeconomic Factors , Treatment Outcome , Coronavirus Infections/psychology , Pandemics , BetacoronavirusABSTRACT
OBJECTIVE: To report the use of auriculotherapy to optimize emergency workers' health during the COVID-19 pandemic. METHODS: Experience report of auriculotherapy application in 48 workers of a mobile emergency care service center located in a city in the Northeast of Brazil. RESULTS: Six auriculotherapy sessions were held, each lasting eight minutes, based on specific protocols in the area and Chinese energy physiology. The aim of the practice was to contribute to the improvement of physical (pain) and emotional (anxiety, stress) symptoms, and the promotion of greater health and willingness to work. In addition, the experimentation of this practice was thought of as a pilot for the creation of a care service for workers. FINAL CONSIDERATIONS: In the report of auriculotherapy, the description of its application and its positive and negative points in relation to professionals working in the pandemic scenario were considered and its continuity was requested.
Subject(s)
Acupuncture, Ear/methods , Anxiety/prevention & control , COVID-19/epidemiology , Occupational Diseases/prevention & control , SARS-CoV-2 , Stress, Psychological/prevention & control , Acupuncture, Ear/instrumentation , Acupuncture, Ear/psychology , Brazil/epidemiology , COVID-19/psychology , COVID-19/therapy , Emergency Medical Services , Health Personnel , Humans , PandemicsABSTRACT
OBJECTIVE: The aim of this pilot study was to examine the safety and tolerability of an eight-week treatment of twice weekly auricular acupuncture as a therapeutic intervention for the treatment of psychogenic nonepileptic seizures (PNES). The secondary aim was to determine if auricular acupuncture was effective at reducing PNES event frequency. Psychogenic nonepileptic seizures are as common as multiple sclerosis and are highly resistant to intervention. Unfortunately, there is no standard of care therapy, although mental health treatment referrals are commonly made. Acupuncture is felt to be a safe and cost-effective treatment for many diseases and symptoms including mental health disorders such as posttraumatic stress disorder (PTSD), anxiety, and conversion disorders. We propose to examine auricular acupuncture as a treatment for PNES. METHODS: A single-center, 16-week trial of auricular acupuncture was designed: a four-week baseline period, followed by an eight-week active treatment period during which subjects received twice weekly auricular acupuncture, then followed by a four-week washout period. Tolerability was defined as completion of 12 of 16 treatments. Successful compliance with seizure diary was defined as >80%, or 100 of 120â¯days completed. Safety profile was established and seizure count per week was also calculated. RESULTS: A total of 29 subjects enrolled from a consecutive sample of 73 PNES diagnoses discharging from our epilepsy unit. Twenty-two subjects entered the study with 91% completing more than 12 of 16 treatments, 91% meeting the endpoint of completing >80% of diary entries. Adverse events were mild, and only two subjects were withdrawn due to increased PNES frequency. Although short-term in design, using one-way repeated measures analysis of variance (ANOVA), we observed a statistically significant reduction in seizure count from baseline at treatment month one, treatment month two, and at the washout period (pâ¯=â¯0.0083). Eleven of 12 subjects (52.3%) who received at least one treatment recorded a 50% frequency reduction. Three of 21 subjects (14%) were PNES-free at the end of the study. SIGNIFICANCE: Auricular acupuncture is well-tolerated in a population with PNES and exhibits similar event frequency reductions as cognitive behavioral therapy (CBT). We believe that this is the first literature report examining auricular acupuncture for the treatment of PNES.
Subject(s)
Acupuncture, Ear/methods , Acupuncture, Ear/psychology , Seizures/psychology , Seizures/therapy , Adult , Cognitive Behavioral Therapy/methods , Electroencephalography/methods , Female , Humans , Male , Middle Aged , Pilot Projects , Seizures/diagnosis , Treatment OutcomeABSTRACT
As mães de recém-nascidos prematuros vivenciam a ansiedade oriunda da fragilidade e incerteza sobre as condições de vida de seu filho e a convivência com o estressante ambiente hospitalar, com implicações no aleitamento materno. Na tentativa de amenizar esta situação, o objetivo deste estudo foi avaliar o efeito da acupuntura na ansiedade de mães de recém-nascidos de muito baixo peso (RNMBP). Trata-se de um ensaio clínico randomizado realizado em um hospital universitário do norte do Paraná. A pesquisa foi aprovada pelo Comitê de Ética e Pesquisa da instituição na qual foi realizado o estudo e foi submetida a registro em base de dados para ensaios clínicos Australian New Zealand Clinical Trials Registry. Todas as participantes assinaram o Termo de Consentimento Livre e Esclarecido. A coleta de dados ocorreu no Banco de Leite Humano da instituição, entre agosto de 2011 e novembro de 2012. As participantes foram alocadas em dois grupos: grupo acupuntura (GA) e grupo placebo (GP) e receberam sessões semanais de acupuntura auricular chinesa nos pontos Shenmen, Tensão, Ansiedade 1 e 2 e Relaxamento Muscular. A acupuntura placebo foi realizada com agulhas auriculares adaptadas, sem perfurar a pele. Houve cegamento entre as participantes e o estatístico que realizou a análise dos dados. Utilizaram-se o Inventário de Ansiedade Traço-Estado e a mensuração do cortisol salivar, antes e após a intervenção. Participaram do estudo 29 mães de RNMBP, 14 pertencentes ao GA e 15 pertencentes ao GP. A idade das participantes variou entre 16 e 40 anos, com mediana de 27 anos. A maioria tinha escolaridade até o ensino médio (57%), vivia com o companheiro (72%) e possuía trabalho remunerado (65%). Quanto às variáveis de aleitamento materno, 48% relataram experiência prévia com amamentação, sendo que 13% apresentaram intercorrências durante este período. A incidência de aleitamento materno exclusivo entre as participantes, na data da alta do recém-nascido, foi de 76%, nove pertencentes ao GA (64%) e 13, ao GP (87%), sem relevância estatística entre estes valores (p=0,215). Os resultados para o cortisol salivar, antes da intervenção, variaram entre 0,02 e 0,33 ug/dL para o total de participantes, com média de 0,13 para ambos os grupos (DP=0,08). Após a intervenção, ambos os grupos apresentaram média de 0,14 ug/dL (DP=0,12), variando entre 0,02 e 0,49 ug/dL. A diferença média entre as medidas de cortisol salivar, antes e após a intervenção, foi de -0,02 ug/dL (DP=0,11), mostrando que os níveis de cortisol aumentaram após a intervenção em ambos os grupos, sem significância estatística (p=0,480), e contrariando o esperado. Após a intervenção, o escore de ansiedade-estado das participantes teve redução média de oito pontos, não havendo diferença estatística entre os grupos (p=0,888), com a possibilidade de que tanto a acupuntura real quanto a placebo tenham produzido resultados positivos na redução da ansiedade. Sugere-se que estudos com maior amostra e um terceiro grupo controle sejam conduzidos para melhor esclarecer os efeitos da acupuntura para a redução da ansiedade nesta população.(AU)
Mothers of preterm infants experience anxiety due to the child's frail and uncertain health condition. Spending time in a stressful hospital environment has implications to lactation and breastfeeding. In the attempt to diminish this situation, the aim of this study was to assess the effect of acupuncture in mothers with very low birth weight infants (VLBW). This is a randomized, patient-assessor blind, sham-controlled clinical trial, conducted in a school hospital in northern Paraná. This research has been approved by the ethics review board of the institution where it took place. The trial is registered at Australian New Zealand Clinical Trials Registry, number 12611000025932. All participants signed the written informed consent. Data was collected at the institution's Human Milk Bank from August 2011 to November 2012. Subjects were allocated into two groups: acupuncture - AG or placebo-acupuncture - PG and treatment sessions occurred once a week. The Chinese ear acupoints used were Shenmen, Tension, Anxiety 1 and 2, Muscle relaxation. For placebo- acupuncture, custom-designed noninvasive ear needles were used. Participants were submitted to the STAI-Y scale and salivary cortisol measurements before and after treatment. Twenty-nine mother's with VLBW infants took part in the study (GA = 14, GP = 15). Participants' age ranged from 16 to 40, median age was 27 years old. Most subjects had high school educational levels (57%); lived with their partners (72%) and had paid jobs (65%). 48% mothers had previous experiences with breastfeeding and 13% mentioned some problems while doing so. Exclusive breastfeeding rate at infant's hospital discharge was 76%, AG = 9 (64%), PG = 13 (87%), not significant (p=0,215). Salivary cortisol levels before intervention ranged from 0,02 to 0,33 ug/dL and both groups presented mean 0,13 ug/dL (SD = 0,08). After treatment both groups had 0,14 ug/dL (SD = 0,12) mean levels, with a 0,02 - 0,49 ug/dL range. Mean difference between salivary cortisol levels before and after treatment was -0,02 ug/dL (SD = 0,11), showing increase in cortisol levels after treatment for both groups, not significant and contrary to expected. After treatment, mean STAI-Y1 (state) scores dropped 8 points, not significant between groups (p=0,888). This result indicate that both real and placebo acupuncture may have produced positive effects in anxiety reduction. We suggest other studies are conducted with bigger sample sizes and that include a third arm with routine care as control group to better understand the effects of acupuncture for anxiety in this population.(AU)
Subject(s)
Humans , Female , Infant, Newborn , Adolescent , Adult , Young Adult , Acupuncture, Ear/psychology , Anxiety , Hospitals, University , Mothers/psychology , Women's Health , Acupuncture, Ear/nursing , Anxiety/classification , Brazil , Hydrocortisone/analysis , Infant, Premature , Infant, Very Low Birth Weight , Milk Banks/organization & administration , Single-Blind MethodABSTRACT
Auricular acupuncture (AA) is a widely accepted treatment option for substance abuse that is used in more than 700 treatment centers worldwide. Despite claims of perceived clinical benefits by patients and treatment staff, research efforts have failed to substantiate purported benefits, and the mechanism(s) by which AA serves in the treatment of addiction remain inconclusive. Numerous studies have shown AA to be an effective treatment for perioperative anxiety. In this study, we hypothesize that AA reduces the anxiety associated with withdrawal from psychoactive drugs. The study used a randomized, controlled design and included a sample of 101 patients recruited from an addiction treatment service. Subjects were assigned to one of three treatment groups (National Acupuncture Detoxification Association [NADA] AA, AA at sham points, or treatment setting control) and were instructed to attend treatment sessions for 3 days. The primary outcome measure state anxiety was assessed using a pretest-posttest treatment design. The study hypothesis was not confirmed. The NADA protocol was not more effective than sham or treatment setting control in reducing anxiety. The widespread acceptance of AA in the treatment of addiction remains controversial.
Subject(s)
Acupuncture, Ear/methods , Anxiety/therapy , Behavior, Addictive/therapy , Psychotropic Drugs/adverse effects , Substance Withdrawal Syndrome/therapy , Acupuncture Points , Acupuncture, Ear/psychology , Adult , Blood Pressure , Female , Heart Rate , Humans , Male , Time Factors , Treatment OutcomeABSTRACT
This study examined the duration and effects of auricular acupuncture on insomnia in a sample of 28 Korean older adults. The design was a group, pretest-posttest, repeated-measures study. Measures were the Sleep State Tool and the Sleep Satisfaction Tool. The effects of auricular acupuncture on insomnia among Korean older adults were significant. The duration effects of auricular acupuncture were maintained for 2 weeks. Clinicians should consider providing auricular acupuncture as an alternative method for improving quality of sleep in older adults.
Subject(s)
Acupuncture, Ear/methods , Sleep Initiation and Maintenance Disorders/therapy , Acupuncture, Ear/nursing , Acupuncture, Ear/psychology , Aged , Aged, 80 and over , Analysis of Variance , Chi-Square Distribution , Clinical Nursing Research , Female , Humans , Korea , Male , Patient Satisfaction , Research Design , Severity of Illness Index , Sleep Initiation and Maintenance Disorders/diagnosis , Sleep Initiation and Maintenance Disorders/psychology , Surveys and Questionnaires , Treatment OutcomeABSTRACT
Auricular acupuncture can be an effective treatment for acute anxiety, but there is a lack of direct comparisons of acupuncture to proven standard drug treatments. In this study we compared the efficacy of auricular acupuncture with intranasal midazolam, placebo acupuncture, and no treatment for reducing dental anxiety. Patients having dental extractions (n = 67) were randomized to (i) auricular acupuncture, (ii) placebo acupuncture, and (iii) intranasal midazolam and compared with a no treatment group. Anxiety was assessed before the interventions, at 30 min, and after the dental extraction. Physiological variables were assessed continuously. With the no treatment group as control, the auricular acupuncture group, and the midazolam group were significantly less anxious at 30 min as compared with patients in the placebo acupuncture group (Spielberger Stait-Trait Anxiety Inventory X1, P = 0.012 and <0.001, respectively). In addition, patient compliance assessed by the dentist was significantly improved if auricular acupuncture or application of intranasal midazolam had been performed (P = 0.032 and 0.049, respectively). In conclusion, both, auricular acupuncture and intranasal midazolam were similarly effective for the treatment of dental anxiety.
Subject(s)
Acupuncture, Ear/methods , Dental Anxiety/therapy , Acupuncture Therapy/methods , Acupuncture Therapy/psychology , Acupuncture, Ear/psychology , Adult , Dental Anxiety/drug therapy , Dental Anxiety/psychology , Female , Humans , Male , Midazolam/therapeutic use , Middle Aged , Tooth Extraction/methods , Tooth Extraction/psychologyABSTRACT
BACKGROUND: The purpose of this study was to determine whether parental auricular acupuncture reduces parental preoperative anxiety and thus allows children to benefit from parental presence during induction of anesthesia. METHODS: Mothers of children who were scheduled to undergo surgery were randomly assigned to an acupuncture intervention group (auricular press needles at relaxation, tranquilizer point, and master cerebral point) or a sham acupuncture control group (auricular press needles at the shoulder, wrist, and extraneous auricular point). The intervention was performed at least 30 min before the child's induction of anesthesia. All mothers were present during induction of anesthesia. The behavioral and physiologic anxiety of mothers and children were rated during the perioperative process. RESULTS: : Multivariable analysis examining maternal anxiety as a function of group found a group-by-time interaction (F1,65 = 4.1, P = 0.04). That is, after induction, maternal anxiety in the acupuncture group was significantly lower (42.9 +/- 10 vs. 49.5 +/- 11; P = 0.014). A multivariate model (F1,65 = 4.8, P =0.031) also showed that children whose mothers received the acupuncture intervention were significantly less anxious on entrance to the operating room (34.9 +/- 20 vs. 47.4 +/- 26; P = 0.03) and during introduction of the anesthesia mask (38.6 +/- 25 vs. 55.6 +/- 31; P = 0.016). There were no significant differences in maternal blood pressure and heart rate between the two groups. CONCLUSIONS: : Auricular acupuncture significantly decreased maternal anxiety during the preoperative period. Children of mothers who underwent acupuncture intervention benefitted from the reduction of maternal anxiety during the induction of anesthesia.
